
Profitability - Definition:
The Plan Benefit represents the real or disposable "yield" from the services provided to each patient. Covered charges represent the resources applied in providing those patient services.
The AnalyTXs AllPayor system is extremely flexible, facilitating profitability analysis by individual facility, groups of facilities or totals for all facilities. Profitability can be reported first by facility and then broken down by inpatient, by outpatient, by discharge date range, by admit date range, by filed date range, by payor contract, by hospital defined product line, by physician, by major disease category, by responsible billing clerk (data elements include - patient number, patient name, HIC number, medical record number, contract benefit, settlement amount, payment difference, physician, and many more - then drill down to the individual detail claim level).
The possibilities are endless and allow senior managers to identify and seize strategic initiatives. Put valuable capital budget dollars into breakaway product lines and retool stagnant centers of excellence before they become inoperable.